胃肠肿瘤患者术后切口感染的相关因素分析

Clinically relevant factor for postoperative incision infection in patients with gastrointestinal cancer research and prevention countermeasures

  • 摘要: 目的 分析胃肠肿瘤患者术后切口感染的相关危险因素,并探讨临床预防对策,为降低胃肠肿瘤患者临床感染率提供依据。方法 分析2013年4月-2015年3月医院收治624例胃肠肿瘤患者的临床资料,统计术后切口感染率,分析影响患者术后切口感染的相关因素,数据采用SPSS 13.0软件进行统计分析。结果 医院624例胃肠肿瘤患者术后切口感染67例,感染率为10.74%;共分离出85株病原菌,以革兰阴性菌为主,共61株占71.76%;多因素logistic非条件回归分析结果显示,患者年龄>60岁、恶性肿瘤、Ⅱ、Ⅲ切口、手术时间>2 h、住院时间>30 d、未预防用药是影响胃肠肿瘤患者术后切口感染的独立危险因素(P<0.05)。结论 临床胃肠肿瘤患者术后切口感染因素较多,临床应针对相关危险因素给予针对性护理从而有效降低临床感染率。

     

    Abstract: OBJECTIVE To analyze the postoperative incision infection in patients with gastrointestinal cancer related risk factors, and to explore the clinical preventive measures, and to provide a basis for reducing the rate of infection in patients with gastrointestinal cancer. METHODS The clinical data of 624 cases of gastrointestinal cancer patients admitted in the hospital from Apr. 2013 to Mar. 2015 were analyzed. By calculating postoperative incision infection rate, relevant factors affecting postoperative incision infection was analyzed. The results were statistically analyzed by software SPSS13.0. RESULTS Among the 624 cases of hospital infections in patients with gastrointestinal cancer, there were 67 cases of postoperative incision infections with an infections rate of 10.74%. A total of 85 pathogens were isolated, including 61 strains of gram-negative bacteria accounting for 71.76%. Multivariate logistic unconditional regression showed patients aged more than 60 years, malignant tumor, Ⅱ, Ⅲ incision, operating time >2 h, hospitalization time >30 d and no preventive medication were the independent risk factors incision infections in gastrointestinal cancer patients after surgery (P<0.05). CONCLUSION There are many incision infection factors in clinical gastrointestinal cancer patients after surgery, and targeted clinical care should be given to risk factors to effectively reduce clinical infections.

     

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